Carroll, IA
142
Beds
1,037
Inpatient discharges a year
$61.2M
Net patient revenue a year
35
In-network payers
St. Anthony Regional Hospital is a 142-bed voluntary non-profit - private hospital in Carroll, IA. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 84 disclosed rate categories.
The 24 services St. Anthony Regional Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery · Inpatient
MS-DRG 470
$25,573 - $66,800
from 4 insurers · median $58,840
75 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,672 - $6,665
from 4 insurers · median $5,871
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,466 - $11,123
from 4 insurers · median $9,798
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$1,094 - $5,081
from 4 insurers · median $4,261
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,672 - $6,665
from 4 insurers · median $5,871
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$21,634 - $30,007
from 4 insurers · median $26,432
Hospital reports inpatient surgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$52,201
negotiated rate
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 70450
$505 - $1,993
from 4 insurers · median $1,755
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$35,794
negotiated rate
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70553
$725 - $6,482
from 4 insurers · median $5,095
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,094 - $4,077
from 4 insurers · median $3,662
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$124 - $3,306
from 4 insurers · median $2,464
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$436 - $2,322
from 4 insurers · median $2,045
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$232 - $451
from 4 insurers · median $385
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$3,170 - $3,725
from 4 insurers · median $3,182
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$5,082 - $5,972
from 4 insurers · median $5,260
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$1,032 - $3,332
from 4 insurers · median $2,370
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$63 - $460
from 4 insurers · median $139
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$332 - $4,163
from 4 insurers · median $933
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$416 - $3,419
from 3 insurers · median $1,297
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$286 - $1,874
from 3 insurers · median $1,059
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$201 - $667
from 4 insurers · median $441
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$201 - $765
from 4 insurers · median $432
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$201 - $511
from 4 insurers · median $355
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 1172% | 14 | 2 |
| Insurer B* | 22 | 716% | 16 | 3 |
| Insurer C* | 22 | 508% | 2 | 0 |
| Insurer D* | 24 | 204% | 7 | 11 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St. Anthony Regional Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
36 services
See doctors and servicesFinances
$61.2M net patient revenue
Ownership and leadership
Allen Anderson, chief executive
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for St. Anthony Regional Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 42-0733472St. Anthony Regional Hospital | 61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more | 1720067127 St Anthony Regional Hospital And Nursing Home1467432591 St Anthony Regional Hospital And Nursing Home1518947647 St. Anthony Regional Hospital And Nursing Homeand 15 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
311 South Clark Street, Carroll, IA 51401
(712) 792-3581
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St. Anthony Regional Hospital reported to Medicare in its latest cost report, covering Jul 1, 2023 to Mar 17, 2024.
1,037
Inpatient discharges
Medicare 29%, Medicaid 0%
4,123
Inpatient days
32% of available bed days used
312
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 823285). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St. Anthony Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,720 | 281 | 2,122 | 4,123 |
| Discharges | 305 | 4 | 728 | 1,037 |
| Average length of stay | 5.6 days | 70.3 days | 2.9 days | 4.0 days |
| Average daily census | 6.6 | 1.1 | 8.1 | 15.8 |
452
Medicare Advantage days
85 discharges
764
Medicaid managed care days
120 discharges
588
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 43 | 2,507 | 1,064 | 22% |
| Intensive care unit | 6 | 600 | 288 | 38% |
| Nursery | 464 | |||
| Subprovider - ipf | 14 | 1,162 | 232 | 32% |
| Nursing facility | 79 | 18,575 | 90% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823285, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
The comprehensive outpatient service groups (APCs) St. Anthony Regional Hospital billed Medicare for most in 2024: 91 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 42 | 25 | $8,224 | $1,694 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 20 | 13 | $1,094 | $494 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 16 | 16 | $10,182 | $1,873 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 13 | 13 | $41,528 | $10,409 | $10,772 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
Revenue, expenses and income St. Anthony Regional Hospital reported to Medicare for Jul 1, 2023 to Mar 17, 2024. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $154.7M | 252.9% |
| Inpatient | $27.8M | 45.4% |
| Outpatient | $126.9M | 207.5% |
| Contractual allowances and discounts | -$93.5M | -152.9% |
| Net patient revenue | $61.2M | 100.0% |
| Operating expenses | -$75.7M | -123.8% |
| Operating income from patient care | -$14.5M | -23.8% |
| Other income | $13.3M | 21.8% |
| Contributions and donations | $2.7M | 4.4% |
| Investment income | $6.2M | 10.1% |
| Other | $4.5M | 7.4% |
| Net income | -$1.2M | -1.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $45.5M | 33.0% |
| Medicaid (including managed care) | $13.2M | 9.6% |
| Other payers and self-pay | $79M | 57.4% |
| Total charges | $137.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823285, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from St. Anthony Regional Hospital's latest cost report, which covers 261 days; income and expense figures are scaled to a year.
-23.8%
Operating margin
Operating income from patient care / net patient revenue
-1.6%
Total margin
Net income / net patient revenue plus other income
5.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.91
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-0.8%
Return on assets
Net income for a year / total assets
-1.1%
Return on equity
Net income for a year / fund balance
0.17
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.43
Current ratio
Current assets / current liabilities
1.04
Quick ratio
Cash, temporary investments and net receivables / current liabilities
5 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
54 days
Days in patient receivables
Net patient receivables / daily net patient revenue
49 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.53
Asset turnover
Total revenue for a year / total assets
14.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 823285, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What St. Anthony Regional Hospital owned and owed at the end of its reporting period (Mar 2024), across all fund types: $198.2M in total assets and a $155.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.2M | 0.6% |
| Patient receivables, net | $12.6M | 6.4% |
| Inventory | $3.1M | 1.5% |
| Total current assets | $19M | 9.6% |
| Property and equipment, net of depreciation | $71.1M | 35.9% |
| Investments and other assets | $108M | 54.5% |
| Total assets | $198.2M | 100.0% |
| Current liabilities | $13.3M | 6.7% |
| Long-term debt | $26.9M | 13.6% |
| Total liabilities | $43M | 21.7% |
| Fund balance (net assets) | $155.1M | 78.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 823285, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care St. Anthony Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$962,626
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.5M
Bad debt
Patient bills written off as uncollectible, at charges
$384,242
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2M
Total unreimbursed and uncompensated care
2.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 823285, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
St. Anthony Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 |
|---|---|---|---|---|
| Net patient revenue | $67.6M | $76.1M | $80.9M | $84M |
| Operating expenses | $82M | $88.3M | $95.3M | $101.7M |
| Operating margin | -21.4% | -16.1% | -17.9% | -21.0% |
| Net income | $4.7M | $22.5M | -$22.1M | -$737,626 |
| Total assets | $181.3M | $204.7M | $173.6M | $198.2M |
| Discharges | 1,424 | 1,484 | 1,576 | 1,379 |
| Inpatient days | 6,754 | 6,982 | 6,658 | 6,772 |
| Medicare Advantage days | 489 | 479 | 579 | 630 |
| Beds | 142 | 142 | 142 | 142 |
| Employees (FTE) | 436 | 447 | 434 | 449 |
Source: CMS cost report (HCRIS, Form 2552-10), report 823285, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St. Anthony Regional Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $11.7M | $30.2M | 0.39 | ||
| Clinic | $5.5M | $6.2M | $13.8M | 0.45 | 14,301 |
| Operating room | $1M | $5.2M | $14.9M | 0.35 | 13,565 |
| Laboratory | $786,587 | $2.7M | $4.6M | 0.58 | 4,905 |
| Radiology-diagnostic | $714,101 | $2.6M | $23.2M | 0.11 | 8,068 |
| Impl. dev. charged to patients | $2.6M | $4.1M | 0.62 | ||
| Physical therapy | $1.5M | $2.1M | $3.5M | 0.59 | 14,707 |
| Emergency | $581,493 | $2M | $5.5M | 0.36 | 5,370 |
| Observation beds (non-distinct part | $1.2M | $1.1M | 1.13 | ||
| Home health agency | $408,147 | $1.2M | $2M | 0.60 | |
| Same day surgery | $509,051 | $1.1M | $1.3M | 0.87 | 7,099 |
| Renal dialysis | $355,493 | $1.1M | $3.8M | 0.28 | 3,972 |
| Iv/chemotherapy | $285,821 | $736,323 | $3.9M | 0.19 | 4,609 |
| Wound care/diabetes | $334,753 | $713,904 | $1.2M | 0.59 | |
| Rural health clinic | $22,230 | $655,870 | $882,319 | 0.74 | |
| Medical supplies charged to patient | $10,993 | $561,094 | $1.7M | 0.34 | |
| Delivery room & labor room | $444,498 | $639,416 | 0.70 | 2,441 | |
| Anesthesiology | $394,798 | $3.2M | 0.12 | 412 | |
| Speech pathology | $331,736 | $649,922 | 0.51 | ||
| Respiratory therapy | $69,262 | $310,664 | $832,736 | 0.37 | 1,334 |
| Whole blood & packed red blood cell | $235,972 | $399,484 | 0.59 | ||
| Cardiac rehab | $87,538 | $195,564 | $261,487 | 0.75 | 894 |
| Electrocardiology | $140,696 | $387,021 | 0.36 | ||
| Electroencephalography | $4,585 | $8,165 | $44,598 | 0.18 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.8M | $6.7M | $5.5M | 1.21 | 32,797 |
| Nursing facility | $3M | $6.3M | $5.6M | 1.13 | |
| Subprovider - ipf | $573,061 | $1.6M | $1.9M | 0.87 | 7,942 |
| Intensive care unit | $412,078 | $1.2M | $1.3M | 0.88 | 3,910 |
| Nursery | $930,838 | $847,883 | 1.10 | 3,222 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Pharmacy | $660,152 | $9.7M | 12,552 | $52.59 | 1,875 |
| Employee benefits department | $333,720 | $7.1M | 10,560 | $31.60 | 1,548 |
| Other administrative and general | $1.2M | $2.7M | 34,978 | ||
| Cap rel costs-bldg & fixt | $2.6M | 237,048 | |||
| Cap rel costs-mvble equip | $2.4M | ||||
| Dietary | $815,481 | $1.7M | 65,884 | $20.10 | 7,102 |
| Social service | $1.1M | $1.3M | 31,461 | $36.20 | 1,359 |
| Operation of plant | $1.1M | 1,619 | $25.10 | 13,935 | |
| Data processing | $468,173 | $1.1M | 1,946 | ||
| Maintenance & repairs | $595,135 | $901,452 | 21,812 | $30.63 | 7,300 |
| Cashiering/accounts receivable | $351,111 | $802,120 | 4,941 | ||
| Medical records & library | $532,962 | $771,729 | 21,448 | $24.85 | 2,225 |
| Nursing administration | $420,998 | $534,477 | 8,454 | $49.80 | 13,743 |
| Housekeeping | $413,878 | $494,432 | 23,152 | $17.88 | 356 |
| Nonpatient telephones | $356,402 | $370,188 | 2,410 | ||
| Laundry & linen service | $62,759 | $292,805 | 4,866 | $19.60 | 1,389 |
| Cap rel costs-bldg & fixt-chc | $262,957 | ||||
| Purchasing receiving and stores | $273,452 | $190,039 | 3,487 | ||
| Cap rel costs-bldg & fixt-snf | $149,883 | ||||
| Operation of plant-chc | $40,647 | $125,328 | |||
| Central services & supply | $72,339 | $73,028 | 3,720 | $19.45 | 3,034 |
| Operation of plant-ahs | $17,722 | ||||
| Cap rel costs-bldg & fixt-ahs | $6,209 |
Source: CMS cost report (HCRIS, Form 2552-10), report 823285, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The officers and board members on St. Anthony Regional Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
| Name | Title |
|---|---|
| Allen Anderson | Ceo/president |
| Eric Salmonson | Cfo/vice President |
| Jeff Scharfenkamp | Chairperson |
| Matt Greteman | Treasurer |
| Sr Rose Elsbernd | Secretary |
Board members: Deb Auen, Nick Badding, Karl Eischeid DDS, Sr Theresa Keller, Jeff Koster, Sr Joanne Moeller, Sr Michelle Pettit, Carly Quam DO.
Source: IRS Form 990 Part VII filed by St Anthony Regional Hospital (EIN 42-0733472), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID SCH160005-00, registered as a sole community hospital. Authorizing official: Eric Clark Salmonson, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
St Anthony Rgnl Hospital
FAA location ID 0IA1, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
St. anthony regional hospital
CCN 16S005, certified 1992, Medicare prospective payment
St anthony regional hospital
CCN 16U005, certified 1984, Medicare prospective payment
St anthony regional hospital
CCN 16U005, certified 1984
St. anthony regional hospital
CCN 167207, certified 1992, Medicare prospective payment
St. anthony regional hospital
CCN 161546, certified 1992
St. anthony clinic denison
CCN 163400, certified 1994, Medicare cost reimbursed
St. anthony regional hospital
CCN 162314, certified 1987
Source: Worksheet S-2 Part I of St. Anthony Regional Hospital's latest Medicare cost report (HCRIS).
About St. Anthony Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Anthony Regional Hospital range from $725 to $6,482 across 4 insurers. UnitedHealthcare's rate is $5,558. The median at nearby comparable hospitals is $859. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Anthony Regional Hospital range from $1,094 to $5,081 across 4 insurers. Aetna's rate is $4,166. The median at nearby comparable hospitals is $988. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Anthony Regional Hospital range from $332 to $4,163 across 4 insurers. Blue Cross Blue Shield's rate is $525. The median at nearby comparable hospitals is $3,370. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Anthony Regional Hospital range from $5,672 to $6,665 across 4 insurers. Aetna's rate is $6,027. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Anthony Regional Hospital range from $232 to $451 across 4 insurers. Blue Cross Blue Shield's rate is $232. The median at nearby comparable hospitals is $254. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Anthony Regional Hospital range from $25,573 to $66,800 across 4 insurers. Blue Cross Blue Shield's rate is $25,573. The median at nearby comparable hospitals is $34,352. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Anthony Regional Hospital reported 1,037 inpatient discharges and 4,123 inpatient days from Jul 1, 2023 to Mar 17, 2024.
St. Anthony Regional Hospital reported 312 full-time-equivalent employees on payroll from Jul 1, 2023 to Mar 17, 2024.
St. Anthony Regional Hospital reported $61.2M in net patient revenue on $154.7M of gross charges for Jul 1, 2023 to Mar 17, 2024, an operating margin of -23.8%, and net income of -$1.2M.
St. Anthony Regional Hospital reported $2M of unreimbursed and uncompensated care for Jul 1, 2023 to Mar 17, 2024, including $962,626 of charity care at cost.
St. Anthony Regional Hospital's 2024 IRS Form 990 lists Allen Anderson as Ceo/president.
Insurers' price transparency files list St. Anthony Regional Hospital under employer identification number 42-0733472 (St. Anthony Regional Hospital). 61 health plans and networks list 42-0733472 for it.
HRSA's 340B database lists St. Anthony Regional Hospital (340B ID SCH160005-00) as no longer participating since 2024.
CMS lists 36 services at St. Anthony Regional Hospital, including Adult Inpatient Psychiatric Care, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, Coronary Care Unit.
St. Anthony Regional Hospital has 142 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
St. Anthony Regional Hospital is located at 311 South Clark Street, Carroll, IA 51401. Its main phone number is (712) 792-3581.
St. Anthony Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 160005.
The National Provider Identifier (NPI) on file for St. Anthony Regional Hospital is 1720067127.
St. Anthony Regional Hospital lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
84 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers